Transforming Lives by Coordinating Care
States, managed care plans, and accountable care organizations across the country are focused on integrating care coordination to increase patient engagement, adherence to treatment plans, transitions in care, outcomes, quality, and the cost-effectiveness of treatment. At Advocates for Human Potential, Inc. (AHP), we specialize in helping organizations design and implement care coordination service plans that not only satisfy state and federal requirements, but also consider the unique needs of the populations our clients serve.
For over 35 years, AHP has been improving health and human services systems of care to help organizations and individuals reach their full potential. Our consulting, technical assistance, research and evaluation, and administrative services are tailored to support our clients’ vision for integrated care coordination.
Integrated Care Coordination Can Be a Challenge
Organizations are expected to ensure every consumer has a medical home and a plan of care, and that all medically necessary services, including those described in their plan of care, are received. Organizations are also required to share information and data with managed care organizations, providers, and consumers in real time.
You Don’t Have to Do It Alone
At AHP, we help clients take a systematic approach to developing, implementing, and monitoring the effectiveness of care coordination efforts. States are increasingly demanding formal, integrated care coordination services for people with complex needs, and today’s evolving care environment requires providers be prepared and agile enough to create programs that are cost-effective, increase patient satisfaction, and improve health outcomes.
Our Process
AHP focuses on developing care coordination models that satisfy state and federal mandates and are within the unique geographic (e.g., rural, urban, frontier) and socioeconomic characteristics of the populations you serve. Our experts will conduct a comprehensive review of charts, workflow and business processes, staffing and clinical supervision, and compliance with health home regulations, as well as an assessment of how care coordinators use the electronic health record (EHR) system to support care coordination.
We Adapt to Meet Your Needs
Our consulting process is fully adaptable to each organization. We focus on integrating the industry’s best practices as we help you incorporate the following:
- Predictive modeling and risk stratification;
- Screening and assessing need for physical health care, behavioral health care, intellectual and developmental disabilities, and long-term services and supports;
- Care plan development;
- Transition management;
- Partnerships with hospitals, primary care providers, crisis response providers, and managed care entities;
- Data exchange; and
- Quality assurance and improvement.
Aligning Care Systems with Whole Health Needs
AHP can help guide you to a model of care coordination that best fits your organization. Whether yours is a patient-centered medical home, health home, or a referral-based model of care, we can help you
- Build partnerships with shared responsibility,
- Enhance continuity of care,
- Optimize the performance of your EHR and care coordination platforms,
- Ensure the highest level of quality is being maintained by your staff, and
- Support your ability to share information between providers, payors, and your patients.
Work with AHP
AHP consultants have a powerful mix of content expertise and real-world experience in behavioral health systems, public health systems, Medicaid and managed care systems, and system transformation. AHP consultants know how to make systemic change because they have been a part of it—as behavioral health clinicians, leaders and managers of behavioral health programs, state agency directors, developers and operators of consumer-run services, family members of individuals in recovery, and people in recovery themselves.
Let us help transform your system of care with a care coordination model that will transform lives.
About Us
Advocates for Human Potential, Inc. (AHP) creates powerful solutions to improve health and human services systems. By partnering with the federal government, states, municipalities, healthcare systems, and nonprofits, we help people experiencing the greatest disadvantages lead full and productive lives. We are national leaders in training and technical assistance, research and evaluation, publishing, and dedicated consulting. On issues from workforce development to mental health, substance use disorders to housing and homelessness, we help our clients enhance behavioral health care through systems change. AHP was founded nearly 40 years ago to develop solutions for some of the biggest social infrastructure challenges across the nation. Our company has offices in metro Boston, Chicago, and Los Angeles. Find out more at www.ahpnet.com.
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